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CANTON MANOR
NPI 1659353688
Intermediate Care Facility, Intellectual Disabilities in Canton, MS

Active since November 16, 2005
1145 TISDALE AVE, CANTON, MS 39046(601) 859-6712(601) 859-2355 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canton Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANTON MANOR (NPI 1659353688) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Canton, Mississippi and active in the NPI registry since November 2005. The organization lists Jamie Latture Collier, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1659353688
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePREFERRED CARE DEVELOPMENTAL CENTERS OF MS I INC
Location Address1145 TISDALE AVECanton, MS 39046-4965
Mailing Address5420 W Plano PkwyPlano, TX 75093-4823 · (972) 931-3800 · Fax (972) 767-6222
Phone(601) 859-6712
Fax(601) 859-2355
Organization SubpartNo
Authorized OfficialJamie Latture CollierDirector Of Reimbursement · (972) 931-3800
Enumeration DateNovember 16, 2005
Last NPPES UpdateDecember 2, 2014
✔ NPI 1659353688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MS · 630
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1145 TISDALE AVE, Canton, MS 39046
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Other Names 1

Doing Business AsCanton Manor

Other Identifiers 1

Medicaid00220054MS

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANTON MS OPCO LLC
Intermediate Care Facility, Intellectual Disabilities
1145 TISDALE AVE
CANTON, MS 39046
Madison County (601) 859-6712
CANTON MS OPERATING LLC
Intermediate Care Facility, Intellectual Disabilities
1145 TISDALE AVE
CANTON, MS 39046
Madison County (601) 859-6712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Preferred Care Developmental Centers Of Ms I Inc's NPI number?

The NPI number for Preferred Care Developmental Centers Of Ms I Inc is 1659353688. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is doing business as Canton Manor.

Where is Preferred Care Developmental Centers Of Ms I Inc located?

Preferred Care Developmental Centers Of Ms I Inc is located at 1145 Tisdale Ave, Canton, MS 39046. The listed phone number is (601) 859-6712.

What is Preferred Care Developmental Centers Of Ms I Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Preferred Care Developmental Centers Of Ms I Inc was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.